Government watchdogs are calling on CMS to recoup the overpayments. Hospitals upcoded severe malnutrition diagnosis codes on inpatient hospital claims in 2016 and 2017, reaping an estimated $1 billion ...
Incorrect diagnosis codes from providers led to a $14 million windfall for some Medicare Advantage plans, a federal watchdog found. The Department of Health and Human Services’ Office of Inspector ...
Medicare’s spinal-deformity-specific diagnosis-related group distribution has some limitations when it comes to understanding the nuances of surgeries, according to a study in the March 1 edition of ...
In the complicated world of hospital billing, there’s a fine line between maximizing reimbursement and gaming the system. A new study shows a troubling trend as hospitals increasingly code for “sicker ...
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